Chickasaw Nation Medical Center – General Acute Care Hospital, NPI 1255364923
General Acute Care Hospital
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Chickasaw Nation Medical Center
1921 STONECIPHER BLVD
ADA, OK 74820
Phone: (580) 421-4570
Fax: (580) 421-6283
Type: Mailing
Chickasaw Nation Medical Center, 1921, Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States
ADA, OK 748203439
Phone: (580) 421-4570
Fax: (580) 421-6283
Type: Location
Warrior Way, Loretto, Jacksonville, Duval County, Florida, 32557, United States
ADA, OK 74820
Phone: (580) 421-4570
Fax: (580) 421-6283
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (987 days ago).
Enrollment records
3
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040108000364 | O | Clinic/Group Practice | TX | 2023-09-30 |
| O20071130000094 | O | Ambulatory Surgical Center | TX | 2025-08-31 |
| O20160909000238 | O | Hospital | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74820)
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